Active NPI
Shanna Gamble, FNP-C
- Family Nurse Practitioner
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP1043859093
- Practice address
- 3541 Balboa BCH
Abilene, TX 79606-5659 - Phone
- (325) 201-2984
- NPI assigned
- Dec 21, 2019
- Last updated
- Feb 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP1043859093 | TX | Primary |
Addresses
Primary practice location
3541 Balboa BCH
Abilene, TX 79606-5659
Mailing address
3541 Balboa BCH
Abilene, TX 79606-5659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1249 Ambler Ave
Suite 200
Abilene, TX 79601-2311
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.73 of 100
- Quality
- 52.37
- Improvement activities
- 40
- Cost
- 79.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1043859093 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Assoc., LLP | Current | Accepting new patients | |
| C,L and W PLLC | Current | Accepting new patients | |
| Anesthesia Webb, PLLC | Past | Accepting new patients |
Locations
1249 Ambler Ave
Abilene, TX 79601
Phone (325) 677-2626
3101 S 27th St
Abilene, TX 79605
Phone (325) 695-5440
4009 Ridgemont Dr
Abilene, TX 79606
Phone (325) 232-8830
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Abilene, TX
- NPI 1508846049
-
- Family Nurse Practitioner
- Abilene, TX
- NPI 1275444614
-
- Certified Registered Nurse Anesthetist
- Abilene, TX
- NPI 1225455702
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1043859093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3541 BALBOA BCH",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3541 BALBOA BCH",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065659",
"telephone_number": "325-201-2984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "SHANNA",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-21",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP1043859093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.